Pediatric Bipolar Depression Disorder Debate

Pediatric Bipolar Depression Disorder Debate

Pediatric Bipolar Depression Disorder Debate

Pediatric Bipolar Depression Disorder Debate

Discussion Week 8

Learning Resources

Required Readings

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

“Bipolar and Related Disorders”
“Depressive Disorders”

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 31, “Child Psychiatry” (pp. 1226–1253)

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Zeanah, C. H., Chesher, T., & Boris, N. W. (2016). Practice parameter for the assessment and treatment of children and adolescents with reactive attachment disorder and disinhibited social engagement disorder. Journal of the American Academy of Child & Adolescent Psychiatry55(11), 990–103. Retrieved from http://www.jaacap.com/article/S0890-8567(16)31183-2/pdf

 

Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact. Pediatric Bipolar Depression Disorder Debate

ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS

In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.

Learning Objectives

Students will:
  • Evaluate diagnosis of pediatric bipolar depression disorder
  • Analyze consequences to diagnosing/failing to diagnose pediatric bipolar depression disorder

To Prepare for the Discussion:

  • The instructor will assign you a position for or against the issue of diagnosing pediatric bipolar depression disorder.
  • Review the Learning Resources concerning the controversy over the diagnosis of pediatric bipolar depression disorder.

 

Post:

  • Write “for” in the subject line of your Discussion post.
  • Based on the position you were assigned (FOR), justify whether or not pediatric bipolar depression disorder should be diagnosed.

Support your position with evidence and examples.

Note: In APA Format and proper citation, Support your rationale with a minimum of three academic resources/references no more than five years old. Include introduction and conclusion.

 

Based on the requested outline, you should first ALWAYS provide some type of introduction based on the presenting issue using research.  Ex: According to the American Psychiatric Association (2015), depression has increased by……

Introduction….tell briefly about depression

History of Present Illness/Clinical Impression…..you should always have a mental status exam of the client you are seeing…..at every visit!!!!!!

Psychopharmacologic treatment….What does the research say about treating a client with depression.  Ex:  Harris 2018, stated the Serotonin Intake inhibitors are the first line treatment for depression due to the targeted neurotransmitters.   Although SSRI’s are considered first line treatment for depression, Mr. J was started on Wellbutrin 150mg instead because the preceptor felt that the Wellbutrin would assist Mr J with smoking cessation as well. Harris (2015) stated that Wellbutrin helps to decrease smoking by 50% due to….

Psychotherapy….Research states that Cognitive Behavioral Therapy is the best therapeutic approach with treating patients with Major Depression (Smith, 2019).  Cognitive Behav Therapy was discussed with Mr. j and the client is willing to participate in this therapy.

Medical Management…Mr J does not have any medical needs that need to be addressed at this time.  However, it is recommended that the client get baseline labs to ensure that there are no medical needs that may be the cause of the depression (Harris, 2016) Pediatric Bipolar Depression Disorder Debate

Students you should BOLD the headings!!!! The instructor should be able to immediately identify the pertinent information.

Now the RUBRIC…the guide to for a grade!!!  The rubric is graded as EXCELLENT, GOOD, FAIR, AND POOR.  You choose where you want to be

  1.  Analytical thinking…..comes from research,  This should be covered with the introduction
  2. Purpose Statement….The purpose of this assignment is to discuss a client with depression, treatment options, and appropriate interventions to properly care for Mr. J (This is simple) Can be included at the end of the introduction.
  3. Key concepts….did you address what the assignment ask you to do
  4. Are you using the required resources to back up the data
  5. Is the paper flowing
  6. Grammar…..GRADUATE STUDENTS…ESPECIALLY THOSE OF YOU WANTING TO OBTAIN A DOCTORATE try to avoid USING HE, SHE, THEY, US, I.  You can use the client, the daughter of the patient stated, the team, as a provider; etc.  The pronouns take away from the professional/scholarly writing within the paper….In my opinion.  See the examples above. However, it’s not against APA standards at this time…it’s now a preference for the avoidance of the pronoun use.
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    6660_week_8_discusssion..docx

    Week 8 initial post for diagnosis of bipolar in children.

    FOR

    Making a definitive diagnosis of bipolar disorder in children can be a challenge given that there are other conditions that share some of the symptoms of bipolar disorder. Bipolar disorder can however be diagnosed in children, it can cause mood swings, from the highs of hyperactivity or euphoria (mania) to the lows when they experience prolong periods of depression (National institute of Mental Health).

    Emotional issues, unruly behaviors in the most instances are considered part of human growth and development and in most cases do not warrant an evaluation and treatment. Children will periodically have episodic rough times in which they may feel depressed, irritable , angry hyperactive and rebellious against their parents, care givers or guardians, however when these symptoms last for more that seven days along with three or more symptoms such as irritability, self- esteem issues, sleep problems, racing thoughts, flight of ideas, increased activity, grandiosity and suicidal thoughts or behaviors in older children they may be suffering from bipolar disorder which needs to be evaluated, diagnosed and treated (Conner, 2012).

    Signs and symptoms of bipolar disorder in children and teenager

    Some of the signs that are frequently experience in children with Bipolar disorder include

    Hyperactive mood swings that are different from the child or teenager mood swing.

    Hyperactive impulsive, aggressive or social inappropriate behavior

    Risky and reckless behaviors that are out of the child or teenage character, in case of older teenagers

    Casual sex with different partners, drug use such as marijuana or alcohol. Spending sprees.

    Insomnia or decreased need for the child or teenage sleep pattern

    Depressive mood, irritability, most of the day during depressed episodes (Conner, 2012)

    Grandiose and over- rated view of the child or teenager capability.

    Suicidal thoughts or behaviors in older children. Pediatric Bipolar Depression Disorder Debate

    Diagnosing bipolar disorder in children can be a gigantic challenge given that the symptoms overlap with other mental afflictions such as attention deficit /hyperactive disorder, oppositional defiant behavior, conduct disorder and anxiety disorder, making diagnosis difficult. When a child experiences serious mood swings, depression or behavior problems constantly for over one week, it is prudent to seek consult with a mental health provider who works with children and teenagers (Casgrove et al, 2013).

    Mood swings and behavior problems that are caused by bipolar disorder can lead to major difficulties in life. Early assessment, diagnosis and treatment of bipolar disorder in children can lead to a better treatment outcome, thereby preventing serious consequences and decreasing the impact of mental health problems on the child or teenager in the future. it is imperative to diagnose bipolar disorder early and initiate treatment. Pediatric Bipolar Depression Disorder Debate

    References

    Bipolar disorder in children and teens. National institute of Mental health. http;//www.nimh.gov/health

    /publications/bipolar-disorder-in children-and adolescents/index shtml

    Accessed oct. 15,2019.

    Connor DF, et al, (2012) Characteristics of children with Juvenile bipolar disorder or disruptive behaviors

    And negative mood. Can they be distinguished in clinical setting? Annals of clinical psychiatry,24:261

    Cosgrove VE,et al (2013). Bipolar disorder in pediatric populations. Epidemiology and management.

    Pediatric Drugs,15-83. Pediatric Bipolar Depression Disorder Debate